无创通气治疗COPD合并急性呼吸衰竭

Noninvasive ventilation treating acute respiratore failure complicated by COPD

目的:观察无创通气治疗慢性阻塞性肺疾病(COPD)合并急性呼吸衰竭的疗效。方法:52例COPD合并急性呼吸衰竭患者随机分为两组:常规治疗+无创通气组(A组)和常规治疗组(B组)。A组25例患者在常规治疗的同时,对病人采用万胜BiPAP呼吸机进行辅助呼吸。B组27例患者给与常规治疗。治疗中着重观察了病人的意识、呼吸、心率、pH、PCO2、PO2。结果:52例COPD合并急性呼吸衰竭的病人中,A组24h意识明显改善,PCO2明显下降。除两例改为有创通气,其余均好转出院。A组明显优于B组。结论:无创通气为COPD合并呼吸衰竭进一步的治疗提供了宝贵的时间,大大提高了生存率。

Objective To observe the efficacy of noninvasive ventilation on chronic obstructive pulmonary desease (COPD) with complication of acute respiratore failure. Methods 52 patients who contented COPD with complication of the acute respiratore failure(ARF) were divided randomly into two groupsgeneral treatment + Noninvasive ventilation(group A) and general treatment(group B). We gave group A (25patients was treated with) general treatment meanwhile giving them the assisted respiration by “Wansheng BiPAP respirator” group B (27patients) only general treatment. During the treating to obsere on the mentality breath heart rate pH PCO2 PO2. Results 52 patients who contonted COPD with complication of the acute respiratory failure. Obvionsly group A mentality was improved PCO2 was dropped. Most cases of the group A was improved and discharged from hospital except 2 patients charged and to use the invasive ventilation. Group A better as group B. Conclusion The noninvasive ventilation provides precious time for further treatment on COPD with complication of the respiratory failureand raises the survival rate obviously.